Individual
DR. RICHARD MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BAY AVE, MOUNTAINSIDE HOSPITAL DEPARTMENT OF ANESTHESIOLOGY, MONTCLAIR, NJ 07042-4837
(973) 429-6219
(845) 357-5777
Mailing address
100 ROUTE 59, SUITE 105, SUFFERN, NY 10901-4927
(845) 357-5775
(845) 357-5777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08629600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233838
—
NJ
05
—
03227525
—
NY
01
—
P00762060
RAILROAD MEDICARE
NJ
Enumeration date
01/02/2009
Last updated
10/02/2013
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